Investigating the Effects of Interrupting Gender-Related Schematic Encoding and Memory Recall in an Adult Population

Schema theory accounts for the incompleteness and distortions in memory. Theories suggest a person’s prior knowledge can influence their encoding and retrieval abilities. Concerning gender-schemas, someone’s stereotypical gender biases can influence their schematic encoding and memory recall. These theories were tested in the current study by assessing participants recall of events and gender biases at explicit and implicit levels. Explicit recall was assessed through a questionnaire regarding a passage of text previously presented to participants, and implicit gender biases were assessed through an IAT. Within this study there were four conditions organised in a 2 x 2 design. Conditions consisted of informed and non-informed conditions and gender conforming and non-conforming conditions. Informed conditions were mediated through statements presented to participants prior to the study which told participants the true nature of the study – testing gender-related recall or told them their memory recall would be tested. Conforming conditions were given biographies where characters gender’s consistent with stereotypical gender roles, with non-conforming conditions the opposite. Results found that when presented with non-conforming biographies, participants performed worse at recall and were more likely to recall gender inaccurate information. This effect was seen only when the participants were informed, indicating an effect of schema activation and priming on memory recall. Additionally, participants with higher IAT scores (more bias) performed poorer than those with lower scores when in non-conforming conditions. These findings support those found in the previous literature and add the finding that informing participants can influence their ability to recall accurate gendered information

How accessible and acceptable are current GP referral mechanisms for IAPT for low-income patients? Lay and primary care perspectives

Background: Improving Access to Psychological Therapies (IAPT) constitutes a key element of England’s national mental health strategy. Accessing IAPT usually requires patients to self-refer on the advice of their GP. Little is known about how GPs perceive and communicate IAPT services with patients from low-income communities, nor how the notion of self-referral is understood and responded to by such patients. Aims: This paper examines how IAPT referrals are made by GPs and how these referrals are perceived and acted on by patients from low-income backgrounds Method: Findings are drawn from in-depth interviews with low-income patients experiencing mental distress (n = 80); interviews with GPs (n = 10); secondary analysis of video-recorded GP-patient consultations for mental health (n = 26). Results: GPs generally supported self-referral, perceiving it an important initial step towards patient recovery. Most patients however, perceived self-referral as an obstacle to accessing IAPT, and felt their mental health needs were being undermined. The way that IAPT was discussed and the pathway for referral appears to affect uptake of these services. Conclusions: A number of factors deter low-income patients from self-referring for IAPT. Understanding these issues is necessary in enabling the development of more effective referral and support mechanisms within primary care

The impact of the Work Capability Assessment on mental health: claimants’ lived experiences and GP perspectives in low-income communities

This is the final version. Available from Policy Press via the DOI in this record.Anonymised focus group and interview transcripts from participants who consented to data sharing, plus additional supporting information, are available from the UK Data Service, subject to registration and permission. Details of how to request access are available from the UK Data Service at: http://doi.org/10.5255/UKDA-SN-853788This paper examines the impact of increased welfare conditionality on people with mental health issues claiming benefits in the UK. Drawing on data from the DeStress study, this paper explores the lived experience of welfare claimants in low-income communities, and the perspectives of GPs seeking to support them. Particular focus is placed on people’s experience of the Work Capability Assessment, the tool used to determine welfare claimants’ entitlement to sickness benefit, and how the narratives and culture surrounding welfare reform and the actual assessment itself can have a negative impact on mental health and wellbeing.Economic and Social Research Council (ESRC

Biodiversity conservation and the earth system – mind the gap

One of the most striking human impacts on global biodiversity is the ongoing depletion of large vertebrates from terrestrial and aquatic ecosystems. Recent work suggests this loss of megafauna can affect processes at biome or Earth system scales with potentially serious impacts on ecosystem structure and function, ecosystem services, and biogeochemical cycles. We argue that our contemporary approach to biodiversity conservation focuses on spatial scales that are too small to adequately address these impacts. We advocate a new global approach to address this conservation gap, which must enable megafaunal populations to recover to functionally relevant densities. We conclude that re-establishing biome and Earth system functions needs to become an urgent global priority for conservation science and policy

Limaria hians (Mollusca : Limacea): a neglected reef-forming keystone species

1. A key component of physical habitat along braided river systems is the exposed riverine sediment within the active zone. The relatively unmanaged, gravel-bed Fiume Tagliamento, Italy, provides the focus for exploring two ecologically important properties of exposed riverine sediments: their within-patch and between-patch variability in calibre. 2. To characterize between-patch variation in exposed riverine sediments, replicate (within-patch) samples were obtained from three geomorphologically distinct locations along 130 km of the river: bar heads along the margin of the low-flow channel, the heads of major bars across the exposed surface of the active zone, and floodplain surfaces. A photographic technique enabled rapid and consistent field sampling of the coarse sediments at bar heads along the low-flow channel margin and on major bars across the dry bed. 3. A downstream decrease in particle size and an increase in within-patch heterogeneity in sediment size were observed within bar head sediments along the margin of the low-flow channel. Comparisons between major bar and low-flow channel samples revealed greatest within-patch variability in individual sediment size indices (D50, A- and B-axes of the larger particles) at headwater sites, greatest between-patch variability in the three measured indices in the central reaches, and lowest between-patch variability at downstream sites. However, there was a distinct increase in the overall heterogeneity in particle size, which was sustained across all patches, in a downstream direction. 4. There was a clear downstream decrease in the size of floodplain sediments in the headwaters, but thereafter there was no distinct downstream trend in any of the calculated particle size indices. 5. The geomorphological controls on the observed patterns and the potential ecological significance of the patterns, particularly for plant establishment, are discussed in relation to the relative relief of the active zone, and the highly variable hydrological and climatic regime along the river

Poverty, choice and dying in the UK: a call to examine whether public health approaches to palliative care address the needs of low-income communities

This is the final version. Available on open access from Routledge via the DOI in this record. Data availability statement: The data that support the findings of this study are openly available in the UK Data Service at https://beta.ukdataservice.ac.uk/datacatalogue/studies/study?id=853488 ReShare record 853488People living on a low income are less likely to access palliative care in the UK; however, beyond the statistics, little is known about the impact of poverty on attitudes towards death and experiences of dying and bereavement. Covid-19 has disproportionally affected poorer communities and foregrounded issues of social and health inequalities including experiences of loss and grief. Whilst this might suggest an opportune moment for embracing inclusive health-promoting approaches to palliative care, this paper argues that the centrality of concepts such as choice within such approaches, and assumptions about what constitutes a ‘good death’, disregard the ways in which structural, social and economic aspects of poverty interface with attitudes towards and experiences of dying, and may exacerbate inequalities in death and dying.Wellcome Trus

Distinct Neural Signatures of Multimodal Resizing Illusions

Illusory body resizing typically uses multisensory integration to change the perceived size of a body part. Previous studies associate these multisensory body illusions with frontal theta oscillations and parietal gamma oscillations for dis-integration and integration of multisensory signals, respectively. However, recent studies also support illusory changes of embodiment from unimodal visual stimuli. This preregistered study (N=48) investigated differences between multisensory visuo-tactile and unimodal visual resizing illusions using EEG, to gain a more comprehensive understanding of the neural underpinnings of resizing illusions in a healthy population. We hypothesised (1) stronger illusion in multisensory compared to unimodal, and unimodal compared to incongruent (dis-integration) conditions, (2) greater parietal gamma during multisensory compared to unimodal, and (3) greater frontal theta during incongruent compared to baseline conditions. Subjective Illusory results partially support Hypothesis 1, showing a stronger illusion in multisensory compared to unimodal conditions, but finding no significant difference comparing unimodal to incongruent conditions. Results partially supported EEG hypotheses, finding increased parietal gamma activity comparing multisensory to unimodal visual conditions, whilst finding increased parietal theta activity when comparing incongruent to non-illusion conditions. While results demonstrated that only 27% of participants experienced the stretching illusion with unimodal visual stimuli compared to 73% of participants experiencing the stretching illusion in the multisensory condition, further analysis suggested that those who experience visual-only illusions exhibit a different neural signature to those who do not, with activity focussed around frontal and parietal regions early on in the illusory manipulation, compared to activity focussed more over parietal regions and at a later point in the illusory manipulation for the full sample of participants. Our results support the importance of multisensory integration for illusory changes in perceived body size. However, we also suggest that unimodal visual illusions can influence cortical body representations for just over one in four participants, which may have implications for the development of accessible unimodal visual chronic pain treatments

An engaged approach to exploring issues around poverty and mental health: A reflective evaluation of the research process from researchers and community partners involved in the DeStress study

Background Involving patients, service users, carers and members of the public in research has been part of health policy and practice in the UK for the last 15 years. However, low‐income communities tend to remain marginalized from the co‐design and delivery of mental health research, perpetuating the potential for health inequalities. Greater understanding is therefore needed on how to meaningfully engage low‐income communities in mental health research. Objectives To explore and articulate whether and how an engaged research approach facilitated knowledge coproduction relating to poverty and mental distress. Setting A reflective evaluation of community and researcher engagement in the DeStress study that took place in two low‐income areas of South‐west England. Design Reflective evaluation by the authors through on‐going feedback, a focus group and first‐person writing and discussion on experiences of working with the DeStress project, and how knowledge coproduction was influenced by an engaged research approach. Results An engaged research approach influenced the process and delivery of the DeStress project, creating a space where community partners felt empowered to coproduce knowledge relating to poverty‐related mental distress, treatment and the training of health professionals that would otherwise have been missed. We examine motivations for involvement, factors sustaining engagement, how coproduction influenced research analysis, findings and dissemination of outputs, and what involvement meant for different stakeholders. Conclusion Engaged research supported the coproduction of knowledge in mental health research with low‐income communities which led to multiple impacts

Psychological distress among primary school teachers: a comparison with clinical and population samples

This is the author accepted manuscript. The final version is available from Elsevier via the DOI in this record.Objectives: This analysis explored the level of psychological distress among primary school teachers in the South West of England as compared to clinical and general population samples. Study design: Secondary analysis of data from the Supporting Teachers And childRen in Schools (STARS) trial completed by up to 90 teachers at baseline, 9, 18 and 30 months of follow up. Methods: We used the Everyday Feelings Questionnaire (EFQ) as a measure of psychological distress. Baseline data on teachers were compared with a population sample of professionals and a clinical sample of patients attending a depression clinic. Results: Our teacher cohort experienced higher levels of psychological distress than comparable professionals from the general population, which were sustained over 30 months follow-up. Levels of psychological distress were lower than those found in the clinical sample. Using a cut-point indicative of moderate depression, our data suggest between 19% and 29% of teachers experienced clinically significant distress at each time-point. Conclusions: We detected high and sustained levels of psychological distress among primary school teachers, which suggests an urgent need for intervention. Effective support for teachers’ mental health is particularly important given the potential impact of poor teacher mental health on pupil wellbeing, pupil attainment and teacher-pupil relationships.The STARS trial was funded by the National Institute for Health Research Public Health Research Programme (project number 10/3006/07) and the National Institute for Health Research (NIHR) Collaboration for Leadership in Applied Health Research and Care South West Peninsula

The effectiveness and cost-effectiveness of the Incredible Years® Teacher Classroom Management programme in primary school children: results of the STARS cluster randomised controlled trial

This is the final version of the article. Available from Cambridge University Press via the DOI in this record.Background. We evaluated the effectiveness and cost-effectiveness of the Incredible Years® Teacher Classroom Management (TCM) programme as a universal intervention, given schools’ important influence on child mental health. Methods. A two-arm, pragmatic, parallel group, superiority, cluster randomised controlled trial recruited three cohorts of schools (clusters) between 2012 and 2014, randomising them to TCM (intervention) or Teaching As Usual (TAU-control). TCM was delivered to teachers in six whole-day sessions, spread over 6 months. Schools and teachers were not masked to allocation. The primary outcome was teacher-reported Strengths and Difficulties Questionnaire (SDQ) Total Difficulties score. Random effects linear regression and marginal logistic regression models using Generalised Estimating Equations were used to analyse the outcomes. Trial registration: ISRCTN84130388. Results. Eighty schools (2075 children) were enrolled; 40 (1037 children) to TCM and 40 (1038 children) to TAU. Outcome data were collected at 9, 18, and 30-months for 96, 89, and 85% of children, respectively. The intervention reduced the SDQ-Total Difficulties score at 9 months (mean (S.D.):5.5 (5.4) in TCM v. 6.2 (6.2) in TAU; adjusted mean difference = −1.0; 95% CI−1.9 to −0.1; p = 0.03) but this did not persist at 18 or 30 months. Cost-effectiveness analysis suggested that TCM may be cost-effective compared with TAU at 30-months, but this result was associated with uncertainty so no firm conclusions can be drawn. A priori subgroup analyses suggested TCM is more effective for children with poor mental health. Conclusions. TCM provided a small, short-term improvement to children’s mental health particularly for children who are already struggling.This project was funded by the National Institute for Health Research Public Health Research Programme (project number 10/ 3006/07) and the National Institute for Health Research (NIHR) Collaboration for Leadership in Applied Health Research and Care South West Peninsula